Clinic
Mountaineer Behavioral Health
Mountaineer Behavioral Health was paid $20.46M by Medicaid between Feb 2018 and Dec 2024, across 23 billing codes. Its largest line is H2036, Alcohol and/or other drug treatment program, per diem — 73% of everything it billed.
33Billing provider infoMOUNTAINEER BEHAVIORAL HEALTH
KEARNEYSVILLE, WV 25430
KEARNEYSVILLE, WV 25430
33aNPI1780135863assigned 10/24/2016
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$20.46M
24GClaims161,162
24DCodes billed23
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in West Virginia
Rank by total paid#2 of 12
Median peer was paid$1.75M
This provider vs. median12×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HENDRICKS, JASON controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 272 | $15K | |
| 2019 | 1,610 | $219K | |
| 2020 | 25,350 | $3.39M | |
| 2021 | 36,055 | $4.12M | |
| 2022 | 38,712 | $4.64M | |
| 2023 | 33,321 | $4.43M | |
| 2024incomplete | 25,842 | $3.64M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2036 | Alcohol and/or other drug treatment program, per diem | 73% | 72,986 | 4,588 | $15.03M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 18% | 42,842 | 9,214 | $3.69M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 19,296 | 6,830 | $1.04M |
| H0031 | Mental health assessment, by non-physician | <1% | 777 | 663 | $133K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 1,575 | 1,069 | $119K |
| 80306 | <1% | 8,083 | 3,543 | $85K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 846 | 530 | $73K |
| 80305 | <1% | 5,902 | 2,597 | $61K | |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | <1% | 1,459 | 1,085 | $42K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,358 | 737 | $32K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,021 | 550 | $32K |
| 99205 | Prolong outpt/office vis | <1% | 285 | 203 | $26K |
11 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 269 | $21K |
| H0032 | Mental health service plan development by non-physician | <1% | 606 | $15K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,539 | $14K |
| Q3014 | Telehealth originating site facility fee | <1% | 471 | $12K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 129 | $11K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 394 | $9K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 144 | $7K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 59 | $7K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 40 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 17 | $662.74 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 64 | $98.98 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHENDRICKS, JASON (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Pyramid Health Care INC. | Wilkinsburg, PA | $128.75M |
| Pyramid Healthcare | Belleville, PA | $87.33M |
| Pyramid Healthcare, INC. | Newport News, VA | $40.65M |
| Pyramid Walden LLC | Charlotte Hall, MD | $27.53M |
| October Road INC. | Asheville, NC | $24.64M |
| Pyramid Health Care INC. | Duncansville, PA | $23.92M |
| Pyramid Walden, LLC | Joppa, MD | $16.70M |
| Pyramid Healthcare INC. | Altoona, PA | $14.30M |
| Pyramid Healthcare INC. | Altoona, PA | $13.25M |
| Pyramid Healthcare INC. | Allentown, PA | $11.01M |
| October Road, INC. | Mars Hill, NC | $10.82M |
| Pyramid Healthcare INC. | East Stroudsburg, PA | $10.38M |
| Pyramid Healthcare INC. | Langhorne, PA | $8.62M |
| Pyrmaid Healthcare INC. | York, PA | $8.19M |
| Pyramid Healthcare INC | Gibsonia, PA | $8.17M |
| Pyramid Healthcare, INC. | Radford, VA | $7.68M |
| Pyramid Walden, LLC | California, MD | $4.79M |
| Pyramid Healthcare INC. | Quakertown, PA | $4.16M |
| October Road, INC. | Asheville, NC | $3.63M |
| Pyramid Healthcare INC. | Tyrone, PA | $3.47M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.